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Acquisitions and Dispositions - Narrative (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Sale of Businesses      
Goodwill $ 2,360,902 $ 2,331,898 $ 2,283,425
Concentra      
Sale of Businesses      
Service fee income 12,100 1,200  
Critical Illness Recovery Hospital Reporting Unit      
Sale of Businesses      
Goodwill 7,800 8,000 6,600
Rehabilitation Hospital Reporting Unit      
Sale of Businesses      
Goodwill 20,500 38,400 16,200
Outpatient Rehabilitation Reporting Unit      
Sale of Businesses      
Goodwill 800 1,700 2,300
Critical Illness Recovery Hospital, Rehabilitation Hospital, And Outpatient Rehabilitation Businesses      
Sale of Businesses      
Cash paid to acquire businesses 9,200 12,100 23,600
Issuance of non-controlling interests $ 20,100 24,500 $ 9,000
Business combination, consideration, previously held equity interests   $ 20,300